Cell analysis apparatus and cell analysis method

ABSTRACT

A cell analyzing method includes measuring cells that are nuclear stained, by a cytometric device, to obtain a histogram of a parameter of a fluorescence signal, where the parameter indicates an amount of DNA in a nucleus of a cell. A number of cells that are distributed in an area where the parameter of the fluorescence signal is larger than normal cells are obtained by a computer having at least one processor. The possibility of cancer is determined based on the obtained number of cells and the histogram.

RELATED APPLICATIONS

This application is a divisional application of U.S. Ser. No.14/164,773, filed Jan. 27, 2014, which is a continuation of U.S.application Ser. No. 12/762,703 filed on Apr. 19, 2010, which is acontinuation of PCT/JP2008/069338 filed on Oct. 24, 2008, which claimspriority to Japanese Application No. 2007-280738 filed on Oct. 29, 2007.The entire contents of these applications are incorporated herein byreference.

TECHNICAL FIELD

The present invention relates to a cell analysis apparatus and a cellanalysis method. More particularly, the present invention relates to acell analysis apparatus and a cell analysis method by which ameasurement sample flowing in a flow cell is illuminated with laser beamand the light from the measurement sample is used to analyze cells inthe measurement sample.

BACKGROUND ART

Flow cytometry method for illuminating a measurement sample includingcells as a measuring object with laser beam and measuring the size andshape of each cell by using scattered light and fluorescence from themeasurement sample, is disclosed in WO publication No. 2006/103920 forexample. According to this flow cytometry method, a measurement sampleincluding cells as a measuring object is surrounded by sheath liquid andis squeezed in a sheath flow cell to arrange the cells in one straightline to pass the flow cell. In this manner, a plurality of cells aresuppressed from simultaneously passing through a detection region in thesheath flow cell.

However, cells may aggregate in the measurement sample. The existence ofaggregating cells (a plurality of cells that aggregate) makes itdifficult to accurately measure the sizes and shapes of the respectivecells in the measurement sample for example.

In view of the above, according to an analysis apparatus disclosed in WOpublication No. 2006/103920, forward-scattered light from a measurementsample illuminated with laser beam is detected. Then, a ratio betweenthe difference integration value of the signal waveform of the obtainedforward-scattered light and the peak value of the signal waveform isused to determine whether the signal waveform includes a trough or notto thereby distinguish between aggregating cells and non-aggregatingcells (a plurality of cells that do not aggregate and each of whichexists as a single cell).

SUMMARY

However, the signal waveform of the forward-scattered light detectedfrom cells has a height that changes depending on how the cellsaggregate and a direction to which the cells flow for example. Thisconsequently may cause a signal waveform of forward-scattered light thathas unclear peak and trough. Thus, the analysis apparatus disclosed inWO publication No. 2006/103920 is limited in the improvement of theaccuracy of distinguishing between aggregating cells and non-aggregatingcells.

The present invention has been made in view of the situation asdescribed above. It is an objective of the present invention to providea cell analysis apparatus and a cell analysis method which is capable ofdistinguishing between aggregating cells and non-aggregating cellsaccurately.

The cell analysis apparatus according to a first aspect of thisinvention is a cell analysis apparatus for analyzing measuring objectcells included in a biological sample, comprising: a detection sectionfor flowing a measurement sample obtained from the biological sample anda pigment into a flow cell, irradiating the measurement sample flowingin the flow cell with laser beam, and detecting fluorescence from themeasurement sample; a signal processing section for obtaining, based ona fluorescence signal outputted from the detection section, a valuereflecting height of a waveform of the fluorescence signal and a valuereflecting length of a ridge line of the waveform of the fluorescencesignal; and an analysis section for distinguishing between anaggregating cell formed by aggregation of a plurality of cells and anon-aggregating cell, based on the value reflecting the height of thewaveform of the fluorescence signal and the value reflecting the lengthof the ridge line of the waveform of the fluorescence signal obtained bythe signal processing section.

The cell analysis apparatus according to a second aspect of thisinvention is a cell analysis apparatus for analyzing measuring objectcells included in a biological sample, comprising: a detection sectionfor flowing a measurement sample obtained from the biological sample anda pigment into a flow cell, irradiating the measurement sample flowingin the flow cell with laser beam, and detecting fluorescence from themeasurement sample; a signal processing section for obtaining, based ona fluorescence signal outputted from the detection section, a firstvalue reflecting height of a waveform of the fluorescence signal, asecond value reflecting length of a ridge line of the waveform of thefluorescence signal, and a third value reflecting DNA amount of anucleus of the measuring object cell; and an analysis section forclassifying an abnormal cell from the measuring object cells included inthe measurement sample, based on the first value, the second value, andthe third value obtained by the signal processing section.

The cell analysis method according to a third aspect of this inventionis a cell analysis method, comprising: a first step of preparing ameasurement sample by mixing a biological sample with a pigment; asecond step of flowing the prepared measurement sample into a flow cell,irradiating the measurement sample flowing in the flow cell with laserbeam, and detecting fluorescence from the measurement sample; a thirdstep of obtaining, based on a fluorescence signal generated from thefluorescence, a value reflecting height of a waveform of thefluorescence signal and a value reflecting length of a ridge line of thewaveform of the fluorescence signal; and a fourth step of distinguishingbetween an aggregating cell formed by aggregation of a plurality ofcells and a non-aggregating cell, based on the value reflecting theheight of the waveform of the fluorescence signal and the valuereflecting the length of the ridge line of the waveform of thefluorescence signal.

The cell analysis method according to a fourth aspect of this inventionis a cell analysis method, comprising: a first step of preparing ameasurement sample by mixing a biological sample with a pigment; asecond step of flowing the prepared measurement sample into a flow cell,irradiating the measurement sample flowing in the flow cell with laserbeam, and detecting fluorescence from the measurement sample; a thirdstep of obtaining, based on a fluorescence signal generated from thefluorescence, a first value reflecting height of a waveform of thefluorescence signal, a second value reflecting length of a ridge line ofthe waveform of the fluorescence signal, and a third value reflectingDNA amount of a nucleus of the measuring object cell; and a fourth stepof classifying an abnormal cell from the measuring object cells includedin the measurement sample, based on the first value, the second value,and the third value.

BRIEF DESCRIPTION OF THE DRAWING

FIG. 1 is a perspective view illustrating one embodiment of a cellanalysis apparatus of the present invention;

FIG. 2 is a block diagram illustrating the configuration of the cellanalysis apparatus shown in FIG. 1;

FIG. 3 is a block diagram illustrating a personal computer configuring asystem control section;

FIG. 4 illustrates the configuration of an optical detection section;

FIG. 5 illustrates a cell passing through a beam spot;

FIG. 6 is a scattergram in which the vertical axis shows values each ofwhich is obtained by dividing a difference integration value of afluorescence signal waveform of a measuring object cell by a peak valueand the horizontal axis shows the pulse widths of side-scattered lightsignals;

FIG. 7A shows a single cell (non-aggregating cell) C1;

FIG. 7B illustrates the signal waveform of a single cell;

FIG. 8A shows aggregating cells C2 formed by aggregation of three cells;

FIG. 8B illustrates the signal waveform of an aggregating cell composedof two cells;

FIG. 9A shows aggregating cells C3 formed by aggregation of three cells;

FIG. 9B illustrates the signal waveform of an aggregating cell composedof three cells;

FIG. 10 is a scattergram in which the vertical axis shows the peakvalues of forward-scattered light signals obtained from the measurementsample and the horizontal axis shows the pulse widths of theforward-scattered light signals;

FIG. 11 is a flowchart illustrating the flow of the processing by theCPU of a system control section;

FIG. 12 is a flowchart illustrating the cell analysis processing by theCPU of the system control section;

FIG. 13 is a side view illustrating an optical detection section;

FIG. 14 is a top view illustrating the optical detection section;

FIG. 15 is a histogram in which the horizontal axis shows the pulseareas of lateral fluorescence signals obtained from the measurementsample;

FIG. 16 is a flowchart illustrating the second cell analysis processingby the CPU of the system control section;

FIG. 17 is a flowchart illustrating the third cell analysis processingby the CPU of the system control section; and

FIG. 18 illustrates the beam shape in the direction to which themeasurement sample flows.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

The following section will describe in detail an embodiment of a cellanalysis apparatus and a cell analysis method of the present inventionwith reference to the attached drawings.

Entire Configuration of Cell Analysis Apparatus

FIG. 1 is a perspective view illustrating a cell analysis apparatus 10according to one embodiment of the present invention. The cell analysisapparatus 10 is used for the following process. Specifically, ameasurement sample including cells collected from a patient is caused toflow into a flow cell. Then, the measurement sample flowing in the flowcell is irradiated with laser beam. Then, the light from the measurementsample (e.g., forward-scattered light or lateral fluorescence) isdetected and analyzed to thereby determine whether the cells includecancer and atypical cells or not. Specifically, the cell analysisapparatus 10 is used for screening a cervical cancer by using epithelialcells of the endocervix. The cell analysis apparatus 10 includes: anapparatus main body 12 that measures a sample for example; and a systemcontrol section 13 that is connected to the apparatus main body 12 andthat analyzes the measurement result for example.

As shown in FIG. 2, the apparatus main body 12 of the cell analysisapparatus 10 includes: an optical detection section 3 for detecting fromthe measurement sample the information such as cell or nucleus sizeinformation; a signal processing circuit 4; a measurement controlsection 16; a driving section 17 such as a motor, an actuator, and avalve; and various sensors 18. The signal processing circuit 4 includes:an analog signal processing circuit that subjects the result obtained byamplifying the output from the optical detection section 3 by apreamplifier (not shown) to an amplification processing or a filterprocessing or the like; an A/D converter that converts the output fromthe analog signal processing circuit to a digital signal; and a digitalsignal processing circuit that subjects the digital signal to apredetermined waveform processing. The measurement control section 16controls the operation of the driving section 17 while processing thesignal from the sensor 18 to thereby providing the suction andmeasurement of the measurement sample. The screening of a cervicalcancer can be performed by preparing a measurement sample obtained bysubjecting cells collected from the endocervix of the patient(epithelial cells) to known processings such as centrifugation(concentration), dilution (cleaning), agitation (tapping), or PIstaining. The prepared measurement sample is stored in a test tube andthe test tube is placed under a pipette (not shown) of the apparatusmain body 12. Then, the sample is sucked by the pipette and is suppliedto a flow cell. The PI staining is performed by propidium iodide (PI)that is fluorescence staining liquid including pigments. The PI stainingcan selectively stain a nucleus, thus allowing the detection of thefluorescence from the nucleus.

Configuration of Measurement Control Section

The measurement control section 16 includes, for example, amicroprocessor 20, a storage section 21, an I/O controller 22, a sensorsignal processing section 23, a driving section control driver 24, andan external communication controller 25. The storage section 21 iscomposed of ROM, RAM or the like. The ROM stores therein a controlprogram for controlling the driving section 17 and the data required toexecute the control program. The microprocessor 20 can load the controlprogram to the RAM or can directly execute the control program from theROM.

The microprocessor 20 receives the signal from the sensor 18 via thesensor signal processing section 23 and the I/O controller 22. Themicroprocessor 20 can execute the control program to thereby control, inaccordance with the signal from the sensor 18, the driving section 17via the I/O controller 22 and the driving section control driver 24.

The data processed by the microprocessor 20 and the data required forthe processing by the microprocessor 20 are exchanged via the externalcommunication controller 25 with an external apparatus such as thesystem control section 13.

Configuration of System Control Section

FIG. 3 is a block diagram illustrating the system control section 13.The system control section 13 is composed of a personal computer forexample and is mainly composed of a main body 27, a display section 28,and an input section 29. The main body 27 is mainly composed of a CPU 27a, a ROM 27 b, a RAM 27 c, a hard disk 27 d, a reading apparatus 27 e,an input/output interface 27 f, and an image output interface 27 g thatare connected by a bus 27 h so that communication can be providedthereamong.

The CPU 27 a can execute a computer program stored in the ROM 27 b and acomputer program loaded to the RAM 27 c. The ROM 27 b is configured by amask ROM, PROM, EPROM, or EEPROM for example. The ROM 27 b storestherein a computer program executed by the CPU 27 a and the data usedfor the computer program. The RAM 27 c is configured by a SRAM or DRAMor the like. The RAM 27 c is used to read computer programs recorded inthe ROM 27 b and the hard disk 27 d and is also used as a work area ofthe CPU 27 a for executing these computer programs.

In the hard disk 27 d, there are installed various computer programs tobe executed by the CPU 27 a such as an operating system and anapplication program, and data used to execute the computer programs. Forexample, in the hard disk 27 d, there is installed an operating systemproviding a graphical user interface environment such as Windows®manufactured and sold by US Microsoft Corporation. In the hard disk 27d, there are installed a computer program for determining aggregatingparticles and non-aggregating particles and the data used to execute thecomputer program.

In the hard disk 27 d, there is also installed operation programs forsending a measurement order (operation instruction) to the measurementcontrol section 16 of the cell analysis apparatus 10, receiving andprocessing the measurement result of the measurement by the apparatusmain body 12, and displaying the processed analysis result for example.This operation program operates on the operating system.

The reading apparatus 27 e is configured by a flexible disk drive, aCD-ROM drive, or a DVD-ROM drive for example and can read the computerprogram or data recorded in a portable recording medium. Theinput/output interface 27 f is configured, for example, by a serialinterface such as USB, IEEE 1394 or RS-232C, a parallel interface suchas SCSI, IDE, or IEEE 1284, and an analog interface such as a D/Aconverter or A/D converter. The input/output interface 27 f is connectedwith the input section 29 composed of a keyboard and a mouse. A user canuse the input section 29 to input data to the personal computer. Theinput/output interface 27 f is also connected to the apparatus main body12 and can exchange data with the apparatus main body 12 for example.

The image output interface 27 g is connected with the display section 28composed of LCD or CRT for example. The image output interface 27 goutputs to the display section 28 a video signal depending on the imagedata given from the CPU 27 a. In accordance with the input video signal,the display section 28 displays an image (screen).

Configuration of Optical Detection Section

FIG. 4 illustrates the configuration of the optical detection section 3.In FIG. 4, a lens system (optical system) 52 collects the laser beamemitted from a semiconductor laser 53 as a light source to themeasurement sample flowing in a flow cell 51. A light collection lens 54causes the forward-scattered light from the cell in the measurementsample to be collected in a photodiode 55 as a scattered light detector.Although the lens system 52 is shown as a single lens for simplicity,the lens system 52 can be configured more specifically as shown in FIG.13 and FIG. 14 as a lens group composed of, in an order from thesemiconductor laser 53, a collimator lens 52 a, a cylinder lens system(a plane-convex cylinder lens 52 b+a biconcave cylinder lens 52 c), anda condenser lens system (a condenser lens 52 d+a condenser lens 52 e).

As shown in FIG. 13, when the optical detection section 3 is seen from aside face, the radial laser beam emitted from the semiconductor laser 53is converted by a collimator lens 52 a to parallel light. The parallellight passes the plane-convex cylinder lens 52 b and the biconcavecylinder lens 52 c without being bent. Then, the light is caused by thecondenser lens 52 d and the condenser lens 52 e to be collected at thefirst light collection point A in the measurement sample flowing in theflow cell 51.

When the optical detection section 3 is seen from the upper side asshown in FIG. 14 on the other hand, the radial laser beam emitted fromthe semiconductor laser 53 is converted by the collimator lens 52 a toparallel light. Then, the parallel light is caused by the plane-convexcylinder lens 52 b to converge in a direction orthogonal to thedirection to which the measurement sample flows. Then, the light iscaused by the biconcave cylinder lens 52 c to diverge in a directionorthogonal to the direction to which the measurement sample flows. Then,the light is collected by the condenser lens 52 d and the condenser lens52 e at the second light collection point B at the rear side of the flowcell 51.

By the lens system 52 as described above, the beam shape at the firstlight collection point A (the beam shape seen from the semiconductorlaser 53-side) is caused to converge in the direction to which themeasurement sample flows. Then, the beam shape is a long ellipse-likeshape extending in the direction orthogonal to the direction to whichthe measurement sample flows. Specifically, the beam spot having adiameter of 3 to 8 μm in the direction to which the measurement sampleflows in the flow cell 51 and having a diameter of 300 to 600 μm in thedirection orthogonal to the direction to which the measurement sampleflows is emitted to the measurement sample flowing in the flow cell 51while forming the first light collection point A on a plane passing thedirection to which the measurement sample flows.

The lens system 52 is not limited to the above configuration and alsomay be changed appropriately.

Another light collection lens 56 collects the lateral-scattered lightand the lateral fluorescence from the cell or the nucleus in the cell ata dichroic mirror 57. The dichroic mirror 57 reflects thelateral-scattered light to a photomultiplier 58 as a scattered lightdetector and transmits the lateral fluorescence to a photomultiplier 59as a fluorescence detector. These lights reflect the features of thecell and nucleus in the measurement sample. Then, the photodiode 55, thephotomultiplier 58, and the photomultiplier 59 convert the detectedlight to electric signals to output a forward-scattered light signal(FSC), a lateral-scattered light signal (SSC), and a lateralfluorescence signal (SFL), respectively. These signals are amplified bya preamplifier (not shown). Then, the signals are sent to theabove-described signal processing circuit 4 (see FIG. 2).

As shown in FIG. 2, the forward-scattered light data (FSC), thelateral-scattered light data (SSC), and the lateral fluorescence data(SFL) obtained by being subjected by the signal processing circuit 4 toa signal processing such as filter processing and AID conversionprocessing are sent by the microprocessor 20 to the above-describedsystem control section 13 via the external communication controller 25.Based on the forward-scattered light data (FSC), the lateral-scatteredlight data (SSC), and the lateral fluorescence data (SFL), the systemcontrol section 13 prepares a scattergram and a histogram for analyzingthe cell and the nucleus.

Although the light source may be gas laser instead of the semiconductorlaser, semiconductor laser is preferably used from the viewpoints of lowcost, small size, and low power consumption. The use of semiconductorlaser can reduce the product cost and also can provide the apparatuswith a smaller size and power saving. In the present embodiment, bluesemiconductor laser having a short wavelength is used that isadvantageous in narrowing beam. The blue semiconductor laser is alsoadvantageous to a fluorescence excitation wavelength such as PI. Amongsemiconductor lasers, red semiconductor laser also may be used that islow-cost and long-life, and that is stably supplied from manufacturers.

In the present embodiment, the lens system 52 (FIG. 4) as an opticalsystem is used to form a beam spot having a predetermined size.Specifically, such a substantially-elliptical beam spot that has adiameter of 3 to 8 μm in the direction to which the measurement sampleflows in the flow cell 51 and a diameter of 300 to 600 μm in thedirection orthogonal to the direction to which the measurement sampleflows is formed on the measurement sample. FIG. 5 illustrates the cellpassing through the beam spot. In FIG. 5, the up-and-down direction isthe direction to which the measurement sample flows in the flow cell. InFIG. 5, the right beam spot is a beam spot in a conventional generalapparatus used to detect red blood cells and white blood cells in blood.The left beam spot is a beam spot formed by an optical system of a cellanalysis apparatus according to the present embodiment. For theconvenience of the drawing, the longitudinal size of the beam spot isreduced when compared to the size in the orthogonal direction (in theup-and-down direction). However, an actual beam spot of the presentembodiment has a very long and thin cross-sectional shape.

In the present embodiment, the fluorescence from the measurement sampleflowing in the flow cell is detected by the photomultiplier 59. Based onthe fluorescence signal output from the photomultiplier 59, the signalprocessing circuit 4 acquires a peak value (PEAK) of the fluorescencesignal waveform as a value reflecting the height of the signal waveform.The signal processing circuit 4 also acquires a difference integrationvalue (DIV) of the signal waveform as a value reflecting the length ofthe ridge line of the signal waveform. FIG. 9B illustrates the signalwaveform of a cell C3 of FIG. 9A in which the vertical axis shows thedetected light intensity and the horizontal axis shows the time at whichan optical signal is detected. As shown in FIG. 9B, the peak value(PEAK) of the fluorescence signal waveform (chain line) shows themaximum intensity of the detected fluorescence (PEAK in FIG. 9B) and thedifference integration value (DIV) of the fluorescence signal waveformshows the length of the fluorescence signal waveform having a higherintensity than the base line (Base Line 1) (total of the lengths of thewaveform from the point S to the point T, the waveform from the point Uto the point V, and the waveform from the point W to the point X). Thesystem control section 13 receives the lateral fluorescence dataincluding the difference integration value (DIV) of the fluorescencesignal waveform and the peak value (PEAK) of the fluorescence signalwaveform via the external communication controller 25. Then, the systemcontrol section 13 compares a value (DIV/PEAK) obtained by dividing thedifference integration value (DIV) of the fluorescence signal waveformby the peak value (PEAK) of the fluorescence signal waveform with apredetermined threshold value to thereby determine whether the cell isan aggregating cell or a non-aggregating cell.

A difference integration value is a value obtained by subjecting signalwaveforms to differentiation to add up the resulting the absolutevalues. A difference integration value of a signal having no trough inthe waveform is approximately equal to a value obtained by doubling thepeak value of the signal. On the other hand, a difference integrationvalue of a signal having a trough in the waveform is higher than a valueobtained by doubling the peak value of the signal. An increase in thetrough in the waveform and a deeper trough cause a larger differencefrom a value obtained by doubling the peak value.

In view of the above, the system control section 13 considers the noisesuperposed on the signal for example, and “2.6”, which is a valueslightly higher than “2”, is used as the above “predetermined thresholdvalue” functioning as a reference value for determining whether ameasuring object cell is an aggregating cell or a non-aggregating cell.Although the predetermined threshold value is not limited to 2.6, thepredetermined threshold value is preferably within a range from 2.2 to3. When a value (DIV/PEAK) obtained by dividing the differenceintegration value (DIV) of the fluorescence signal waveform by the peakvalue (PEAK) of the fluorescence signal waveform is higher than thepredetermined threshold value, it means that the fluorescence signalwaveform includes at least one trough. Thus, the measuring object cellcan be classified as an aggregating cell which is an aggregation of aplurality of cells.

FIG. 6 is a (DIV/PEAK)-SSCW scattergram in which the vertical axis showsthe value (DIV/PEAK) obtained by dividing the difference integrationvalue (DIV) of the fluorescence signal waveform of the measuring objectcell by the peak value (PEAK) and the horizontal axis shows the pulsewidth (SSCW) of the signal waveform of the lateral-scattered light. InFIG. 6, the cells distributed in the region shown by A have values onthe vertical axis (difference integration value of fluorescence signalwaveform/peak value (DIV/PEAK)) in a range from about 2 to 2.6. Thesecells are single cells (non-aggregating cells) C1 as shown in FIG. 7A.FIG. 7B illustrates the signal waveform of the cell C1. As shown in FIG.7B, in the case of a single cell, the signal waveform peak is one, butthe fluorescence signal waveform (chain line) shows a clearer peak whencompared with the signal waveform of the forward-scattered light (solidline) and the signal waveform of the lateral-scattered light (brokenline).

In FIG. 6, the cells distributed in the region shown by B have values onthe vertical axis within a range from about 3.5 to 4.2. These samplesare aggregating cells C2 formed by aggregation of two cells as shown inFIG. 8A. In FIG. 6, the cells distributed in the region shown by C havevalues on the vertical axis within a range from about 4.5 to 7. Thesecells are aggregating cells C3 formed by aggregation of three cells asshown in FIG. 9A. FIG. 8B illustrates the signal waveform of the cellC2. As shown in FIG. 8B and FIG. 9B, the waveform of the fluorescencesignal shows clearer peak and trough parts when compared with the signalwaveform of the forward-scattered light and the signal waveform of thelateral-scattered light.

As described above, when compared with the signal waveform of theforward-scattered light and the signal waveform of the lateral-scatteredlight, the fluorescence signal waveform has clearer peak and troughparts. Thus, whether an aggregating cell or a non-aggregating cell canbe determined accurately.

In the present embodiment, the beam spot has a diameter of 3 to 8 μm inthe direction to which the measurement sample flows. Thus, the nucleusdetection can have an improved S/N ratio. In the present embodiment, anucleus is subjected to PI staining and a fluorescence signal from thenucleus is used. The PI staining causes a slightly-stained cell membranein addition to the stained nucleus and also causes the rest of the dyeused for the staining to be flowed in the flow cell, thus causingfluorescence from parts other than the nucleus. Therefore, thephotomultiplier 59 (FIG. 4) as a fluorescence detector detects thefluorescence as noise from parts other than the nucleus. However, thelens system 52 of the optical detection section 3 reduces the diameterin the beam spot in the direction to which the measurement sample flowsto 3 to 8 μm. Thus, a clearer distinction can be made between thefluorescence from the nucleus and the fluorescence from parts other thanthe nucleus. Specifically, by reducing the beam spot diameter to 3 to 8μm in consideration of the nucleus size (5 to 7 μm), noise can bereduced to provide a sharp rise of the fluorescence signal pulse tothereby make the peak clear.

To make the diameter in the beam spot in the above flowing directionsmaller than 3 μm, the lens system 52 must have a shorter focal lengthto cause a shallow region in which the laser beam has a stable intensity(focal depth). FIG. 18 illustrates the beam shape in the direction towhich the measurement sample flows. As shown in FIG. 18, the focal depthshows a region covering up to a point at which the beam diameter becomes1.1 times larger than the beam diameter D in the beam spot. As the beamdiameter increases, the light intensity weakens. When the focal depth isshallow, laser beam cannot be stably emitted to the nucleus of the cellhaving a size of about 20 to 100 μm. On the other hand, when thediameter in the above flow direction is larger than 8 μm, the detectionratio of fluorescence as noise generated from parts other than thenucleus is increased. Thus, the rise of the fluorescence signal pulse issmooth to cause an obscure range of the pulse width of the fluorescencesignal, thus deteriorating measurement accuracy. Furthermore, aplurality of cell nucleuses simultaneously pass through the beam spotwith a higher frequency and the measurement accuracy deteriorates alsofrom this point. Thus, it is preferable to select, in consideration ofthe above focal depth, the diameter in the beam spot in the direction towhich the measurement sample flows. Specifically, the beam spot ispreferably formed so that the laser beam narrowed in the direction towhich the measurement sample flows has a focal depth of 20 to 110 μm. Inorder to stably emit laser beam to the nucleus, the beam spot diameterin the flow direction is preferably 3.5 to 7.5 μm and is more preferably4 to 7 μm.

Since the beam spot diameter is within a range from 300 to 600 μm in thedirection orthogonal to the direction to which the measurement sampleflows, the entire epithelial cell of endocervix (about 60 μm) can pass astable region of laser beam (a region in which the intensity is 0.95 ormore when assuming that the laser beam forming the Gaussian distributionhas a peak intensity of 1). As a result, stable scattered light can beobtained from the cell and the size of the cell can be measuredaccurately. Since the diameter in the direction orthogonal to the flowis 300 μm or more, the stable region of laser beam is increased and thusstable scattered light from the cell can be obtained. On the other hand,the diameter in the direction orthogonal to the flow of 600 μm or lessincreases the intensity of the laser beam close to the center and thusstable scattered light can be obtained. In order to obtain stablescattered light from the cell, the diameter in the direction orthogonalto the direction to which the measurement sample flows is preferably 350to 550 μm.

Classification of Abnormal Cell

When cells changes to cancer and atypical cells, the cell division isactivated to consequently cause the DNA amount to be higher than that ofa normal cell. Thus, this DNA amount can be used as an indicator ofcancer and atypical cells. As a value reflecting the DNA amount in thenucleus, an area of the pulse of a fluorescence signal from a measuringobject cell irradiated with laser beam (fluorescence amount) (SFLI) canbe used. As shown in FIG. 9B, the area of the pulse of the fluorescencesignal (fluorescence amount) (SFLI) shows the area surrounded by thebase line (Base Line 1) and the fluorescence signal waveform. The signalprocessing circuit 4 acquires, based on the fluorescence signal outputfrom the photomultiplier 59, the area of the pulse of the fluorescencesignal (fluorescence amount) (SFLI) as a value reflecting the DNA amountof the nucleus of the measuring object cell. Then, the system controlsection 13 determines whether this fluorescence amount is equal to orhigher than a predetermined threshold value or not. When thisfluorescence amount is equal to or higher than the predeterminedthreshold value, the object cell is classified as a cancer and atypicalcell having an abnormal DNA amount.

The most part of the sample used in the screening of a cervical canceris composed of normal cells. Thus, when the histogram as shown in FIG.15 is drawn in which the horizontal axis shows the area of the pulse ofthe fluorescence signal (fluorescence amount), a peak appears at aposition corresponding to normal cells. The fluorescence amount at thispeak position shows the DNA amount of normal cells. Thus, the systemcontrol section 13 classifies as abnormal cells those cells showing a2.5 times or higher fluorescence amount than that of normal cells.

When two or more cells pass the beam spot of the laser beam whileaggregating to one another, the fluorescence from a plurality ofnucleuses is detected by the photomultiplier 59. Thus, a pulse havingthe entire large area is presumably output. However, as described above,according to the present embodiment, a value obtained by dividing thedifference integration value of the fluorescence signal waveform by thepeak value (DIV/PEAK) can be used to accurately exclude the data due toaggregating cells. This can consequently increase the classificationaccuracy of abnormal cells (cancer and atypical cells). Specifically,regarding those cells measured as having a high DNA amount because thecells are aggregating cells, these cells can be prevented from beingmistakenly classified as abnormal cells.

A measurement sample may include, in addition to a measuring objectcell, debris such as mucus, the remaining blood, and pieces of cells.When this debris is included in a high amount in the measurement sample,the fluorescence from the debris is detected as noise to therebydeteriorate the measurement accuracy. In this case, since the debris hasa smaller size compared with the measuring object cell, the signalprocessing circuit 4 acquires, from the forward-scattered light signaloutputted from the photodiode 55, the signal waveform pulse width of theforward-scattered light (FSCW) and the signal waveform peak value of theforward-scattered light (FSCP) as a plurality of parameters reflectingthe sizes of particles including the measuring object cell. As shown inFIG. 7B, the signal waveform peak value of the forward-scattered light(FSCP) shows the maximum intensity of the detected forward-scatteredlight (FSCP in FIG. 7B). The signal waveform pulse width of theforward-scattered light (FSCW) shows a signal waveform width of theforward-scattered light having a higher intensity than the base line(Base Line 2). The system control section 13 receives theforward-scattered light data including the signal waveform pulse widthof the forward-scattered light (FSCW) and the signal waveform peak valueof the forward-scattered light (FSCP) from the apparatus main body 12via the external communication controller 25. Then, the system controlsection 13 prepares a scattergram using the signal waveform pulse widthof the forward-scattered light (FSCW) and the signal waveform peak valueof the forward-scattered light (FSCP) to thereby distinguish, based onthe scattergram, between a measuring object cell and particles otherthan the measuring object cell (debris).

FIG. 10 is a FSCW-FSCP scattergram in which the horizontal axis showsthe signal waveform pulse width of the forward-scattered light (FSCW)and the vertical axis shows the signal waveform peak value of theforward-scattered light (FSCP). Since a debris has a smaller size whencompared with a measuring object cell, the signal waveform peak value ofthe forward-scattered light (FSCP) and the signal waveform pulse widthof the forward-scattered light (FSCW), each of which reflects the sizeof particles, are smaller than the measuring object cell. In FIG. 10,one group distributed at the lower-left part shows debris. Thus, byassuming the cells in the region G as an analysis target in thesubsequent process, the determination of an abnormal cell can beperformed with a further higher accuracy.

Cell Analysis Method

Next, the following section will describe an embodiment of a cellanalysis method using the cell analysis apparatus 10 (see FIG. 1).

First, a measurement sample to be flowed in a flow cell is manuallyprepared by a user. Specifically, a cell (epithelial cell) collectedfrom the endocervix of a patient is subjected to known processes such ascentrifugation (concentration), dilution (cleaning), agitation(tapping), or PI staining, thereby preparing a measurement sample.

Then, the user stores the prepared measurement sample in a test tube(not shown) and positions the test tube at the lower side of a pipette(not shown) of the apparatus main body.

Next, the following section will describe the flow of the processing bythe system control section 13 with reference to FIG. 11 and FIG. 12.

First, when the power source of the system control section 13 is turnedON, the CPU 27 a of the system control section 13 initializes a computerprogram stored in the system control section 13 (Step S1). Next, the CPU27 a determines whether a measurement instruction from the user isreceived or not (Step S2). When the measurement instruction is received,the CPU 27 a sends a measurement start signal to the apparatus body 12via an I/O interface 27 f (Step S3). When the measurement instruction isnot received, the CPU 27 a proceeds to the processing of Step S6.

When the measurement start signal is sent to the apparatus main body 12,the measurement sample stored in the test tube is sucked by a pipette inthe apparatus main body 12 and is supplied to the flow cell 51 shown inFIG. 4. Then, the measurement sample flowing in the flow cell 51 isirradiated with laser beam. Then, the forward-scattered light from themeasurement sample is detected by the photodiode 55, thelateral-scattered light is detected by the photomultiplier 58, and thelateral fluorescence is detected by the photomultiplier 59.

Next, the forward-scattered light signal (FSC), the lateral-scatteredlight signal (SSC), and the fluorescence signal (SFL) outputted from theoptical detection section 3 are sent to the signal processing circuit 4.Then, measurement data obtained by subjecting the signals to apredetermined processing by the signal processing circuit 4 is sent tothe system control section 13 via the external communication controller25.

On the other hand, the CPU 27 a of the system control section 13determines whether the measurement data (forward-scattered light data(FSC), the lateral-scattered light data (SSC), and the lateralfluorescence data (SFL)) is received from the apparatus main body 12 viathe external communication controller 25 or not (Step S4). When themeasurement data is received, the CPU 27 a stores the measurement datain the hard disk 27 d to subsequently execute a cell analysis processing(Step S5). When the measurement data is not received, the CPU 27 aproceeds to the processing of Step S6.

After the cell analysis processing, the CPU 27 a determines whether ashutdown instruction is received or not (Step S6). When the shutdowninstruction is received, the CPU 27 a completes the processing. When theshutdown instruction is not received, the CPU 27 a returns to theprocessing of Step S2.

Next, the following section will describe the cell analysis processingof Step S5 with reference to FIG. 12.

First, the CPU 27 a reads, from among the forward-scattered light datareceived from the apparatus main body 12, the signal waveform pulsewidth of the forward-scattered light (FSCW) and the signal waveform peakvalue of the forward-scattered light (FSCP) from the hard disk 27 d andstores them into the RAM 27 c (Step S501). Then, the CPU 27 a prepares aFSCW-FSCP scattergram shown in FIG. 10 in which the horizontal axisshows the read pulse width (FSCW) and the vertical axis shows the peakvalue (FSCP) (Step S502). Then, the CPU 27 a assumes the cells in theregion G of this scattergram as an analysis target in the subsequentprocess. As a result, particles at the exterior of the region G areremoved as the debris other than the measuring object cell.

Next, the CPU 27 a reads, from among the lateral fluorescence data ofthe analysis object cell, the difference integration value of thefluorescence signal waveform (DIV) and the peak value of thefluorescence signal waveform (PEAK) from the hard disk 27 d and storesthem into the RAM 27 c. Then, the CPU 27 a acquires a value (DIV/PEAK)obtained by dividing the difference integration value of thefluorescence signal waveform (DIV) by the peak value of the fluorescencesignal waveform (PEAK). The CPU 27 a also reads, from among thelateral-scattered light data of the analysis target particles, thesignal waveform pulse width of the lateral-scattered light (SSCW) fromthe hard disk 27 d and stores them into the RAM 27 c (Step S503). Asshown in FIG. 8B, the signal waveform pulse width of thelateral-scattered light (SSCW) shows the signal waveform width of thelateral-scattered light having a higher intensity than the base line(Base Line 3). The CPU 27 a prepares a (DIV/PEAK)-SSCW scattergram shownin FIG. 6 in which the vertical axis shows the value (DIV/PEAK) obtainedby dividing the difference integration value of the fluorescence signalwaveform by the peak value and the horizontal axis shows the signalwaveform pulse width of the lateral-scattered light (SSCW) (Step S504).

Then, the CPU 27 a compares the value (DIV/PEAK) obtained by dividingthe difference integration value of the fluorescence signal waveform(DIV) by the peak value of the fluorescence signal waveform (PEAK) withthe threshold value of 2.6 to thereby determine whether the analysistarget cell is an aggregating cell or a non-aggregating cell. When thefollowing formula (1) is established, the cell is non-aggregating cell.When the formula (1) is not established, the cell is an aggregatingcell.

DIV/PEAK≦2.6   (1)

Then, the CPU 27 a counts the respective number of non-aggregating cellsand aggregating cells (Step S505).

Next, the CPU 27 a reads, from among the lateral fluorescence data ofthe analysis object cell, the fluorescence amount (SFLI) that is a valuereflecting the DNA amount of the nucleus of the measuring object celland that shows the area of the pulse of the fluorescence signal from thehard disk 27 d and stores them into the RAM 27 c (Step S506). Then, theCPU 27 a prepares a histogram shown in FIG. 15 in which the horizontalaxis shows the area of the pulse of the fluorescence signal(fluorescence amount) (SFLI) (Step S507). In this histogram, a peakappears at a position corresponding to a normal cell.

Next, the CPU 27 a determines whether or not the fluorescence amount(SFLI) of the analysis object cell is 2.5 times or more higher than thefluorescence amount (SFLIP) at the position in the histogram of FIG. 15at which the peak appears, i.e., whether the following formula (2) isestablished or not.

SFLI≧SFLIP×2.5   (2)

Then, when the formula (2) is established, the CPU 27 a classifies thecell as an abnormal-DNA-amount cell in which the DNA amount of thenucleus is abnormal. When the formula (2) is not established, the CPU 27a classifies the cell as a normal cell. Then, the CPU 27 a counts thosecells classified as abnormal-DNA-amount cells (Step S508). Next, the CPU27 a deducts the number of aggregating cells acquired in Step S505 fromthe number of abnormal-DNA-amount cells acquired in Step S508 to therebyacquire the number of abnormal cell (Step S509).

Next, the CPU 27 a calculates a ratio between the number ofnon-aggregating cells acquired in Step S505 and the number of abnormalcells acquired in Step S509 to thereby acquire an abnormal cell ratio(Step S510). This abnormal cell ratio is a value functioning as anindicator for determining whether or not a sample analyzed by the cellanalysis apparatus 10 includes therein a predetermined number or more ofcancer and atypical cells. When the abnormal cell ratio is 1% or morefor example, this means that the sample includes therein a predeterminednumber or more of cancer and atypical cells. Thus, the subject can knowthat he or she has a cancer with a high probability.

Then, the CPU 27 a displays, on the display section 28 of the systemcontrol section 13 (see FIG. 1), the FSCW-FSCP scattergram prepared inStep S502, the (DIV/PEAK)-SSCW scattergram prepared in Step S504, andthe histogram prepared in Step S507 as well as the abnormal cell ratioacquired in Step S510 via the image output interface 27 g (FIG. 3) (StepS511). In the manner as described above, the cell analysis processing isexecuted by the CPU 27 a.

The disclosed embodiment should be considered as illustrative in allpoints and should not be considered as limited. The scope of the presentinvention is defined not by the above description of the embodiment butby the claims, including the equivalents of the claims and allmodifications within the scope.

For example, although the present embodiment has determined whether ornot a sample collected from the subject includes therein a predeterminednumber or more of cancer and atypical cells of the endocervix, the cellanalysis apparatus of the present invention is not limited to this. Thepresent invention also can be used to determine whether or not a samplecollected from the subject includes a predetermined number or more ofcancer and atypical cells of buccal cells, other epithelial cells ofbladder or throat for example, and an organ.

Although the present embodiment has displayed the abnormal cell ratio onthe display section, the cell analysis apparatus of the presentinvention is not limited to this. The display section also can displaynot only the abnormal cell ratio but also a comment showing whether thesubject has a cancer or not. This allows the subject to more easily knowwhether he or she has a cancer or not with a high probability.

Although the present embodiment has acquired the number of aggregatingcells to subsequently acquire the number of abnormal-DNA-amount cellsand deducted the number of aggregating cells from the number ofabnormal-DNA-amount cells to thereby acquire the number of abnormalcells (cancer and atypical cells), the embodiment of the presentinvention is not limited to this. FIG. 16 is a flowchart illustratingthe second cell analysis processing by the CPU 27 a of the systemcontrol section 13. The following section will describe the second cellanalysis processing with reference to FIG. 16.

In the second cell analysis processing, the CPU 27 a in Steps S5001 toS5004 executes the same processes as those of Steps S501 to S504 of thecell analysis processing shown in FIG. 12.

Next, the CPU 27 a determines whether the formula (1) is established ornot with regard to the cell as an analysis target in Step S5003. Whenthe formula (1) is established, then the CPU 27 a counts the cell as anon-aggregating cell (Step S5005).

Next, the CPU 27 a reads the fluorescence amount (SFLI) of thenon-aggregating cell for which the formula (1) is established from thehard disk 27 d and stores them into the RAM 27 c (Step S5006). Then, theCPU 27 a prepares a histogram in which the horizontal axis shows thefluorescence amount (SFLI) (Step S5007).

Next, the CPU 27 a classifies, as an abnormal cell (cancer and atypicalcell), a cell showing a 2.5 times or more fluorescence amount than thefluorescence amount (SFLIP) at a position at which the peak appears inthe histogram prepared in Step S5007 and counts the cell (Step S5008).

Next, the CPU 27 a in Step S5009 executes the same processing as StepS510 of the cell analysis processing shown in FIG. 12 to acquire anabnormal cell ratio. Then, the CPU 27 a displays, together with theFSCW-FSCP scattergram prepared in Step S5002, the (DIV/PEAK)-SSCWscattergram prepared in Step S5004, and the histogram prepared in StepS5007, the abnormal cell ratio acquired in Step S5009 on the displaysection 28 of the system control section 13 (see FIG. 1) (Step S5010)via the image output interface 27 g (FIG. 3). In the manner as describedabove, the second cell analysis processing is executed by the CPU 27 a.

FIG. 17 is a flowchart illustrating the third cell analysis processingby the CPU 27 a of the system control section 13. The following sectionwill describe the third cell analysis processing with reference to FIG.17.

In the third cell analysis processing, the CPU 27 a in Steps S50001 andS50002 executes the same processes as Steps S501 and S502 of the cellanalysis processing shown in FIG. 12.

Next, the CPU 27 a reads, from among the lateral fluorescence data ofthe cell as an analysis target in Step S50002, the differenceintegration value of the fluorescence signal waveform (DIV), the peakvalue of the fluorescence signal waveform (PEAK), and the fluorescenceamount (SFLI) as the area of the pulse of the fluorescence signal fromthe hard disk 27 d and stores them into the RAM 27 c. Then, the CPU 27 aacquires the value (DIV/PEAK) obtained by dividing the differenceintegration value of the fluorescence signal waveform (DIV) by the peakvalue of the fluorescence signal waveform (PEAK). The CPU 27 a alsoreads, from among the lateral-scattered light data of the analysisobject cell, the signal waveform pulse width of the lateral-scatteredlight (SSCW) from the hard disk 27 d and stores them into the RAM 27 c(Step S50003). Then, the CPU 27 a prepares a (DIV/PEAK)-SSCW scattergramin which the vertical axis shows the value (DIV/PEAK) obtained bydividing the difference integration value of the fluorescence signalwaveform by the peak value and the horizontal axis shows the signalwaveform pulse width of the lateral-scattered light (SSCW) and ahistogram in which the horizontal axis shows the area of the pulse ofthe fluorescence signal (fluorescence amount) (SFLI) (Step S50004).

Next, the CPU 27 a determines whether the formula (1) and the formula(2) are both established or not. When the formula (1) and the formula(2) are both established, the CPU 27 a classifies the cell as anabnormal cell (cancer and atypical cell) and counts the cell (StepS50005). In the processing of this step, the CPU 27 a counts the cellfor which the formula (1) is established as a non-aggregating cell.

Next, the CPU 27 a in Step S50006 executes the same processing as StepS510 of the cell analysis processing shown in FIG. 12 and acquires anabnormal cell ratio. Next, the CPU 27 a displays, together with theFSCW-FSCP scattergram prepared in Step S50002 as well as the(DIV/PEAK)-SSCW scattergram and the histogram prepared in Step S50004,the abnormal cell ratio acquired in Step S50006 on the display section28 of the system control section 13 (see FIG. 1) (Step S50007) via theimage output interface 27 g (FIG. 3). In the manner as described above,the third cell analysis processing is executed by the CPU 27 a.

In the cell analysis apparatus 10, pigments for staining the nucleus ofa measuring object cell is used to prepare a measurement sample and thefluorescence from the nucleus is detected by the detection section. Asdescribed above, the signal waveform of the forward-scattered light fromthe cell may have an unclear peak or trough part depending on the cellaggregating status or the cell flowing direction for example. However,the fluorescence signal waveform has clear peak and trough parts. Thus,the fluorescence from the nucleus can be used to accurately determinewhether the cell is an aggregating cell or a non-aggregating cell.

1. A cell analyzing method comprising: measuring, by a cytometricdevice, cells that are nuclear stained, to obtain a histogram of aparameter of fluorescence signal, the parameter indicating an amount ofDNA in a nucleus of a cell; obtaining, by a computer comprising at leastone processor, a number of cells that are distributed in an area wherethe parameter of the fluorescence signal is larger than normal cells;and determining possibility of cancer based on the obtained number ofcells and the histogram.
 2. The method according to claim 1, wherein thedetermination is performed using a relative number of cells that aredistributed in an area where the parameter of the fluorescence signal islarger than the normal cells.
 3. The method according to claim 2,wherein the relative number is a ratio of the obtained number of cellsto a total number of cells.
 4. The method according to claim 1, furthercomprising displaying the histogram on a display.
 5. The methodaccording to claim 1, wherein the parameter of the fluorescence signalis a pulse area of the fluorescence signal.
 6. The method according toclaim 1, further comprising detecting a peak of the normal cells fromdata of the histogram, wherein the number of cells that are distributedin an area where the parameter of the fluorescence signal is larger thanthe peak of the normal cells are obtained.
 7. The method according toclaim 1, wherein the cells are epithelial cells.
 8. The method accordingto claim 2, wherein the possibility of cancer is determined to be highwhen the relative number is greater than a threshold value.
 9. Themethod according to claim 1, wherein the measurement is performed bymeasuring an intensity of fluorescence from each of the cells that arenuclear stained.
 10. A cell analyzing method comprising: measuring, by acytometric device, an intensity of fluorescence emitted from each ofcells that are nuclear stained to prepare a distribution of the cellsaccording to an amount of DNA in a nucleus of a cell; analyzing, by acomputer comprising at least one processor, the distribution of thecells to calculate a ratio of abnormal cells which have an amount of DNAgreater than normal cells; and displaying the calculated ratio.
 11. Acell analyzer comprising: a cytometric device which measures cells thatare nuclear stained; a display which displays a histogram of a parameterof fluorescence signal by using a result of the measurement by themeasuring portion, the parameter indicating an amount of DNA in anucleus in a cell; and a computer comprising at least one processorconfigured to obtain a number of cells that are distributed in an areawhere the parameter of the fluorescence signal is larger than normalcells, and determine possibility of cancer based on the obtained numberof cells and the histogram.
 12. The analyzer according to claim 1,wherein the computer is configured to determine the possibility ofcancer based on a relative number of cells that are distributed in anarea where the parameter of the fluorescence signal is larger than thenormal cells.
 13. The analyzer according to claim 12, wherein therelative number is a ratio of the obtained number of cells to a totalnumber of cells.
 14. The analyzer according to claim 11, wherein thedisplay is configured to display the histogram and a determinationresult by the computer.
 15. The analyzer according to claim 11, whereinthe parameter of the fluorescence signal is a pulse area of thefluorescence signal.
 16. The analyzer according to claim 11, wherein thecomputer is configured to detect a peak of the normal cells from data ofthe histogram and obtain the number of cells that are distributed in anarea where the parameter of the fluorescence signal is larger than thepeak of the normal cells.
 17. The analyzer according to claim 11,wherein the cells are epithelial cells.
 18. The analyzer according toclaim 12, wherein the computer is configured to determine thepossibility of cancer to be high when the relative number is greaterthan a threshold value.
 19. The analyzer according to claim 11, whereinthe cytometric device comprises: a flow cell that accommodates a flow ofcells that are nuclear stained; a light source that emits light to thecells flowing through the flow cell; and a fluorescence detector thatdetects fluorescence from each of the cells flowing through the flowcell and outputs a fluorescence signal.
 20. The analyzer according toclaim 11, wherein the cytometric device is configured to measure anintensity of fluorescence from each of the cells that are nuclearstained.